Menu ENN Search

The management of acute malnutrition at scale: A review of donor and government financing

Donor: Irish Aid and CIDA

ENN Project leads: Carmel Dolan and Jeremy Shoham 

Timeframe: Project completed in March 2013.

Background

Acute malnutrition is a life-threatening condition affecting approximately 60 million children globally at any point in time. This caseload comprises approximately 20 million children aged below 5 years with SAM and 40 million under-five children with MAM. Children with SAM have a nine times greater risk of dying than well-nourished children and children with MAM have a three times higher risk of dying. This is a problem of global public health signifcance and one set to escalate.

Over the past 12 years, CMAM programmes have been implemented to varying degrees of scale in over 65 countries. Estimates suggest that 2 million out of an estimated 20 million SAM cases are now being treated. While this is a signifcant increase in SAM treatment, it represents just 10% of the global SAM burden. MAM treatment, however, has often not kept pace with the scaling up of SAM treatment.

There has been little concrete discussion around the degree to which different governments can afford to finance programmes to treat and prevent acute malnutrition and there are no current estimates for the external (donor and private) resources required for scale up globally.

The review aims to address these issues following an international conference on CMAM co-hosted by the Government of Ethiopia and the ENN in Addis Ababa in 2011. At this four day event, government representatives from 24 African and Asian countries shared their experiences of CMAM scale up and highlighted the challenges they face with current financing arrangements in terms of resource predictability and sustainability.

Project Summary

This is a review of the donor and government financing arrangements for the scale up of programmes to address acute malnutrition through Community-based Management of Acute Malnutrition (CMAM). This review considers the enabling and constraining aspects of humanitarian, transition and development financing, the contexts and rationale in which severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) are jointly addressed in CMAM programming; the role of key United Nations (UN) agencies in enabling programme integration and coordination; individual donor policies and strategies for supporting CMAM in emergency, transition and development contexts; and opportunities for achieving greater impact of efforts to manage acute malnutrition. The review involved country case studies from Kenya, Ethiopia, Malawi and Nigeria (developed based on interviews with government and other stakeholders, plus review of essential documents); in-person and telephone interviews with donors, UN agencies and foundations involved in CMAM financing, programming and research; grey literature review; and donor feedback (CIDA and Irish Aid) on findings.

Publications

The management of acute malnutrition at scale: A review of donor and financing arrangements (2013)

 

 

 

 

 

 

 

The Overseas Development Institute (ODI) has published an edited version available online.

For official power point presentations, contact Carmel Dolan 

More like this

FEX: From the editor

Successful homestead gardening in Satkhira, Bangladesh The year 2013 promises to be an important year for the nutrition aid community and those whom it serves. Since...

FEX: Financing the sustainable scale-up of CMAM in high-burden countries

Summary of research1 Location: Global What we know: Investment in the scale-up of community-based management of acute malnutrition (CMAM) is needed to reduce global...

FEX: From the editor

Rabia, seven months, with her mother at an OTP Aim and structure of this special issue This Field Exchange special issue on ‘Lessons for the scale up of Community-based...

Nutrition Resilience Review

Donors: OFDA and Irish Aid Collaborators: Lola Gostellow ENN project lead: Jeremy Shoham Timeframe: September 2013 to September 2015 Background In the emergency and...

FEX: Conference on Government experiences of CMAM scale-up

Participants in the CMAM Conference 2011, Addis Ababa In November 2011, ENN, in collaboration with the Government of Ethiopia (GoE) hosted a 4-day conference in Addis Ababa at...

Leadership

ENN actively engages in global fora to influence and provide leadership within the nutrition sector on technical developments, governance and strategy and to inform donor...

FEX: Planned ENN review of wasting and stunting linkages

Summary of article1 Location: Global What we know: The relationship between wasting and stunting is under researched and poorly understood. What this article adds: A...

FEX: Humanitarian-development nexus: nutrition policy and programming in Kenya

By Carmel Dolan and Jeremy Shoham View this article as a pdf Carmel Dolan is an ENN Technical Director, co-editor of the ENN publication Nutrition Exchange, and co-lead on...

FEX: Scaling up CMAM in protracted emergencies and low resource settings: experiences from Sudan

By Tewoldeberhan Daniel, Tarig Mekkawi, Hanaa Garelnabi, Salwa Sorkti and Mueni Mutunga View this article as a pdf Dr Tewolde is a Nutrition Specialist with UNICEF Kenya...

Humanitarian and Development Nexus (HDN)

Donors: Irish aid and UK Department for International Development (DFID) Collaborators: Global Nutrition Cluster (GNC), Scaling up Nutrition (SUN) Movement Secretariat (SMS),...

FEX: Scaling-up of care for children with acute malnutrition during emergency nutrition response in South Sudan between 2014 and 2018

By Dina Aburmishan, Vilma Tyler, Lucas Alamprese, Priscilla Bayo Nicholas, Marie Darline Raphael, Joseph Senesie, Allison Oman Lawi, Kibrom Tesfaselassie, Ismail Kassim, Kiross...

FEX: Creating an enabling policy environment for effective CMAM implementation in Malawi

By Mr Sylvester Kathumba Mr Sylvester Kathumba is Principal Nutritionist with the Ministry of Health, Malawi. This article was authored by Mr Sylvester Kathumba with policy...

FEX: CMAM rollout in Ethiopia: the ‘way in’ to scale up nutrition

By Dr Ferew Lemma, Dr Tewoldeberhan Daniel, Dr Habtamu Fekadu and Emily Mates Dr Ferew Lemma is Senior Nutrition Advisor to the State Minister (Programs), Federal Ministry of...

FEX: Nutritional response in north-eastern Nigeria: Approaches to increase service availability in Borno and Yobe States

View this article as a pdf Lisez cet article en français ici By Sanjay Kumar Das, Dr Sule Meleh, Dr Umar Chiroma, Bulti Assaye and Maureen L Gallagher Sanjay Kumar...

FEX: Addressing acute malnutrition in Cameroon during an emergency: Results and benefits of an integrated prevention programme

By Eveline Ngwenyi, Mica Jenkins, Nicolas Joannic and Cécile Patricia Eveline Ngwenyi is a Nutrition Officer with World Food Programme (WFP) Cameroon. She holds a...

FEX: Wasting and Stunting Technical Interest Group (WaSt TIG) meeting

On the 15th of January 2018 the Wasting and Stunting (WaSt) Technical Interest Group (TIG) held their third face-to-face meeting at Trinity College, Oxford. This group of 30...

FEX: From the editor

Ethiopia is a diverse country where a significant proportion of the population live on or below the poverty line, where food insecurity is widespread and rates of acute...

FEX: From the editor

This issue of Field Exchange gives extended coverage to a briefing paper just released by Oxfam and SC UK on the 2011 response to the Horn of Africa crisis. This paper argues...

FEX: Editorial

View this article as a pdf In this issue of Field Exchange we are delighted to feature, for the second year running, a special section that shares key outputs of Action...

FEX: Scaling up nutrition services and maintaining service during conflict in Yemen: Lessons from the Hodeidah sub-national Nutrition Cluster

By Dr. Saja Abdullah, Dr. Rasha Al Ardi, and Dr. Rajia Sharhan Lisez cet article en français ici Dr. Saja Abdullah is Chief of Nutrition with UNICEF Yemen Dr. Rasha...

Close

Reference this page

Chloe Angood (2014). The management of acute malnutrition at scale: A review of donor and government financing. www.ennonline.net/ourwork/reviews/donorfinancing

(ENN_1031)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.